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Working conditions, health and productivity among dentists in Swedish public dental care - a prospective study during a 5-year period of rationalisation

Rolander, B. ; Jonker, D. ; Winkel, J. ; Sandsjo, L. ; Balogh, Istvan LU ; Svensson, E. and Ekberg, K. (2013) In Ergonomics 56(9). p.1376-1386
Abstract
In recent decades, comprehensive rationalisations have been implemented in public dentistry in Sweden. How rationalisations affect working conditions, health and production from a long-term perspective has been poorly investigated. This study aims to analyse changes and associations in dentists' working conditions, health and productivity during a 5-year period. In 2003 and 2008, 65 dentists responded to questionnaires measuring work conditions and health. Treatment times for patients and productivity were tracked in electronic registers. Paired t-tests showed that the number of treated adult patients per dentist increased, and perceived physical working conditions improved while perceived work control and leadership deteriorated.... (More)
In recent decades, comprehensive rationalisations have been implemented in public dentistry in Sweden. How rationalisations affect working conditions, health and production from a long-term perspective has been poorly investigated. This study aims to analyse changes and associations in dentists' working conditions, health and productivity during a 5-year period. In 2003 and 2008, 65 dentists responded to questionnaires measuring work conditions and health. Treatment times for patients and productivity were tracked in electronic registers. Paired t-tests showed that the number of treated adult patients per dentist increased, and perceived physical working conditions improved while perceived work control and leadership deteriorated. Structural equation modelling showed that physical factors were important for health and productivity. When assessing risks in the work environment, there is a need to understand the interaction of effects on working conditions and health due to rationalisations so as to increase the sustainability of production systems. Practioner Summary: Dentistry in Sweden has undergone considerable change. Questionnaire surveys with dentists, undertaken in 2003 and 2008, found that the present rationalisations resulted in improved perceived physical working conditions. Aspects of the psychosocial working environment had deteriorated, however. This is a concern as health and workability are important for workplace efficiency. (Less)
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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
physical working conditions, production, organisational sustainability, leadership, work control
in
Ergonomics
volume
56
issue
9
pages
1376 - 1386
publisher
Taylor & Francis
external identifiers
  • wos:000325060600003
  • scopus:84885042838
ISSN
0014-0139
DOI
10.1080/00140139.2013.817613
language
English
LU publication?
yes
id
cd087ff3-e829-497d-b258-a150c98e7247 (old id 4172231)
date added to LUP
2016-04-01 10:29:40
date last changed
2022-01-25 23:48:37
@article{cd087ff3-e829-497d-b258-a150c98e7247,
  abstract     = {{In recent decades, comprehensive rationalisations have been implemented in public dentistry in Sweden. How rationalisations affect working conditions, health and production from a long-term perspective has been poorly investigated. This study aims to analyse changes and associations in dentists' working conditions, health and productivity during a 5-year period. In 2003 and 2008, 65 dentists responded to questionnaires measuring work conditions and health. Treatment times for patients and productivity were tracked in electronic registers. Paired t-tests showed that the number of treated adult patients per dentist increased, and perceived physical working conditions improved while perceived work control and leadership deteriorated. Structural equation modelling showed that physical factors were important for health and productivity. When assessing risks in the work environment, there is a need to understand the interaction of effects on working conditions and health due to rationalisations so as to increase the sustainability of production systems. Practioner Summary: Dentistry in Sweden has undergone considerable change. Questionnaire surveys with dentists, undertaken in 2003 and 2008, found that the present rationalisations resulted in improved perceived physical working conditions. Aspects of the psychosocial working environment had deteriorated, however. This is a concern as health and workability are important for workplace efficiency.}},
  author       = {{Rolander, B. and Jonker, D. and Winkel, J. and Sandsjo, L. and Balogh, Istvan and Svensson, E. and Ekberg, K.}},
  issn         = {{0014-0139}},
  keywords     = {{physical working conditions; production; organisational sustainability; leadership; work control}},
  language     = {{eng}},
  number       = {{9}},
  pages        = {{1376--1386}},
  publisher    = {{Taylor & Francis}},
  series       = {{Ergonomics}},
  title        = {{Working conditions, health and productivity among dentists in Swedish public dental care - a prospective study during a 5-year period of rationalisation}},
  url          = {{http://dx.doi.org/10.1080/00140139.2013.817613}},
  doi          = {{10.1080/00140139.2013.817613}},
  volume       = {{56}},
  year         = {{2013}},
}